United Community Center Geriatric Clinic
LBN: Sixteenth Street Community Health Centers, Inc.
United Community Center Geriatric Clinic is an health care organization with primary practice located at 730 W Washington St , Milwaukee WI 53204-2310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Sixteenth Street Community Health Centers, Inc. can be contacted via phone (414) 672-1353, or through Taylor, Maria Cecilia S via phone (414) 803-6395.
Contact Information
Primary practice address
730 W Washington St
Milwaukee WI 53204-2310
Phone: (414) 672-1353
Fax: (262) 408-5094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 1507-800 | Wisconsin |
Profile Details
| NPI number | 1649559642 |
|---|---|
| LBN Legal business name | Sixteenth Street Community Health Centers, Inc. |
| DBA Doing business as | United Community Center Geriatric Clinic |
| Authorized official | Taylor, Maria Cecilia S |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 8th, 2011 |
| Last updated | May 15th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649559642 | NPPES |
| Wisconsin | MEDICAID | 1649559642 |
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